Ultrasound, abdomen at Gundersen Moundview Hospital and Clinics. CPT 76700.
What Gundersen Moundview Hospital and Clinics publishes for this service, straight from its standard-charges file, last updated June 27, 2026.
Outpatient / ER
$696cash price (self-pay)
$1,370list price
$73.45–$1,769range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Amerigroup | Medicaid HMO | $73.45 |
| Alliance | Premier/All Products | $214 |
| Anthem | Medicaid | $462 |
| Group Health Eau Claire | Medicaid HMO | $462 |
| Group Health of South Central | Medicaid HMO | $462 |
| Iowa Total Care | Medicaid | $462 |
| Managed Health Service | Managed Medicaid | $462 |
| Quartz | Medicaid_Badgercare | $462 |
| Dean Health Plan | ASO | $557 |
| Quartz | All Products | $580 |
| Quartz | All Other Self Funded | $603 |
| Security Health Plan | Medicare Advantage | $630 |
| Anthem | Medicare HMO/PPO | $630 |
| Health Partners | Medicare Advantage | $630 |
| Quartz | Medicare Advantage | $630 |
| Security Health Plan | Medicare + Choice | $630 |
| UCARE | Dually Eligible | $630 |
| Quartz | Self Funded | $644 |
| UCARE | MSHO/Minnesota Special Needs | $658 |
| UCARE | Non-Dually Eligible | $658 |
| Quartz | Level Funded | $664 |
| Health Partners | Medicaid HMO | $685 |
| Quartz | Fully Insured | $747 |
| Health Partners | Medicare Cost | $822 |
| Cigna | All Products | $1,056 |
| Anthem | State Specific | $1,096 |
| Alliance | Comprehensive/All Products | $1,096 |
| Group Health of South Central | All Products | $1,096 |
| Trilogy | All Products | $1,096 |
| UCARE | Qualified Health Plan | $1,096 |
Inpatient
$696cash price (self-pay)
$1,370list price
$580–$1,329range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Quartz | All Other Self Funded | $807 |
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All common services at Gundersen Moundview Hospital and Clinics